Gland Expectations
Sugar Rush
Morphine Madness
Follow Your Hartmann
Jersey Legends 2.0
100
These are the two treatments for acute severe, symptomatic hypercalcemia.
What are IV normal saline (hydrate!) and calcitonin (acute acting)?
100
This is the recommended insulin administration strategy for non-ICU hospitalized patients.
What is basal/bolus?
Sliding scale without basal bolus is wrong on the test!
100
Unlike other opioids in equianalgesic tables, this agent is often represented with the unit of mcg NOT mg.
What is fentanyl?
Remember that fentanyl is signficantly more potent and is dosed as micrograms and not milligrams.
100
Your patient with diverticulitis asks you if they can continue to eat seeds and nuts, this is how you should respond.
What is, if they bother you, avoid, otherwise it is safe to have seeds and nuts?
100
Born in Hoboken, this legendary singer recorded the hit "New York, New York".
Who is Frank Sinatra?
200
You identify a thyroid nodule on ultrasound and TSH is low, what is your next step?
What is RAIU scan?
Need to know if nodule is functioning "hot" or non-function "cold". Cold are suspicious for malignant tissue and must have FNA performed. Hot nodules require treatment for hyperthyroidism.
200
Name three microvascular complications of diabetes.
What are neuropathy, nephropathy, and retinopathy?
200
You are caring for a patient with significant pain unresponsive to non-opioid therapies and severe renal impairment. Name two preferred opioids to treat this patient's pain.
What are oxycodone, hydromorphone, methadone, and fentanyl?
200
This is the best imaging strategy to diagnose diverticulitis.
What is CT abdomen/pelvis with IV contrast?
200
Before becoming a hollywood icon and starring in roles like The Penguin and Frank Reynolds, this New Jersey native grew up in Asbury Park and worked a summer job on the boardwalk.
Who is Danny DeVito?
300
DAILY DOUBLE
Name the 3 screening tests that are used for cushing syndrome.
What are 24h urine free cortisol, 1mg dex suppression test, late night salivary cortisol (need to have 2 different initial tests to confirm diagnosis)?
300
This is the recommended long-acting basal insulin dose adjustment the night prior to surgery.
What is 25%?
300
In addition to monitoring therapeutic effects, dose titration of methadone requires routine monitoring of this parameter.
What is QTc?
300
In complicated diverticulitis with an abscess, this size abscess typically requires evaluation for percutaneous drainage.
What is 3 cm?
300
This actor was born in Neptune City and has starred in films including Batman, The Shining, and The Departed.
Who is Jack Nicholson?
400
You discover an elevated 1,25 dihydroxyvitamin D during your work up of hypercalcemia. Name 2 specific diagnoses that should be included in your initial differential.
What are lymphoma and granulomatous diseseases (ie. sarcoid, TB, fungal infections, silicosis, berryliosis, crohns, GPA)?
Anything that stimulates macrophage activity of 1 alpha hydroxylase enzyme or produces this enzyme ectopically (lymphoma).
400
Name two specific conditions that cause the a1c to be falsely increased.
What are b12 deficiency, folate deficiency, IDA, asplenia, EPO deficiency states (CKD before EPO)?
400
DAILY DOUBLE
When switching a patient from one opioid to a different opioid whose pain was well controlled, this is the percentage by which the calculated equianalgesic dose should be reduced to account for incomplete cross-tolerance.
What is 25% to 50%?
400
A colonoscopy should be performed at this point following an episode of acute diverticulitis?
What is 6-8 weeks after?
400
Born in Edison, New Jersey, this singer-songwriter - whose stage name was inspired by a street in Brooklyn- rose to fame with hits including a feature in the Chainsmokers song "Closer".
Who is Halsey?
500
An empty sella is discovered incidentally on MRI brain. These three labs should be checked regardless of whether the patient has symptoms.
What are 8 AM cortisol, TSH/T4, and prolactin?
You are looking for evidence of pituitary hypofunction because empty sella suggest pituitary is compressed, destroyed, or damaged. Additional hormone testing should be guided by symptoms.
500
This is the insulin sensitivity factor for rapid acting insulin for a patient with a total daily insulin dose of 40 units.
What is one unit will drop the glucose by about 45?
"The 1800 Rule"
1800 divided by the total daily insulin dose will estimate how much 1 unit of rapid acting insulin will drop the glucose level
500
Fill in the missing values.
500
Name two oral antibiotic regimens that can be used to treat acute diverticulitis.
What are augmentin, keflex + flagyl, or fluoroquinolone + flagyl?
500
This New Brunswick, New Jersey native won Super Bowl XVII as the quarterback of Washington, but his career ended with a gruesome leg injury in a 1985 game against the Giants.
Who is Joe Theismann?
Suffered compound fracture of R tibia and fibula.